治疗颈椎间盘突出症的前路颈椎椎间盘切除术和无钢板融合术的临床结果

V. N. M. Krishna, N Vishnu Vardhan
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摘要

在一项有 50 名参与者参与的综合性前瞻性研究中,对不使用前路钢板的前路颈椎椎间盘切除和融合术(ACDF)治疗颈椎间盘突出症的疗。该研究的,在为期1年的随访中发现,绝大多数(96%)患者的根性疼痛得到了完全缓解,91%的患者表示功能得到了显著。数据进一步强调了患者生活质量的显著提高,颈部残疾指数(NDI)从3个月时的11%明显降低到研究结束时的7%。此外,表明总体健康状况的 EQ-5D 评分也达到了 5.0 的最佳水平。研究发现,手术并发症的发生率和因邻近节段疾病而进行后续手术的需求极低。这些令人鼓舞的结果凸显了无钢板 ACDF 作为颈椎间盘突出症患者可行的微创治疗选择的潜力,强调了扩展研究以进一步验证这些初步ndings 的必要性。这项前瞻性研究旨在评估颈椎间盘突出症患者接受无钢板颈椎前路椎间盘切除融合术(ACDF)的临床疗效。该研究为期一年,共有50例患者接受了无前路钢板颈椎椎间盘切除融合术(ACDF)。主要目的是评估这种创伤较小的手术方法在疼痛缓解、功能恢复、融合率和患者总体满意度方面的有效性。
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CLINICAL OUTCOMES OF ANTERIOR CERVICAL DISCECTOMY AND FUSION WITHOUT PLATING FOR TREATMENT OF CERVICAL DISC HERNIATION
In a comprehensive prospective study involving 50 participants, the efcacy of Anterior Cervical Discectomy and Fusion (ACDF) without the use of anterior plating was evaluated for the treatment of cervical disc herniation. The study's ndings, observed over a 1-year follow-up period, revealed that a substantial majority, 96%, experienced complete relief from radicular pain, and 91% reported signicant functional improvements. The data further highlighted a notable enhancement in patients' quality of life, as evidenced by a marked improvement in Neck Disability Index (NDI) scores from 11% at the 3-month mark to 7% at the conclusion of the study. Additionally, EQ-5D scores, indicative of overall health status, reached an optimal level of 5.0. The incidence of surgical complications and the need for subsequent procedures due to adjacent segment disease were found to be minimal. These promising outcomes underscore the potential of ACDF without plating as a viable, minimally invasive therapeutic option for individuals suffering from cervical disc herniation, emphasizing the necessity for extended research to further validate these preliminary ndings. This prospective study is aimed to evaluate the clinical outcomes of anterior cervical discectomy and fusion (ACDF) without plating in patients with cervical disc prolapse. The study was conducted over a period of one year, encompassing 50 cases that underwent ACDF without anterior plating. The primary objective was to assess the effectiveness of this less invasive surgical approach in terms of pain relief, functional recovery, fusion rates, and overall patient satisfaction.
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